Faith Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02875 Issued in KY

Legal business name

FAITH MEDICAL CENTER LLC

Practice address

13232 N Highway 421
Manchester, KY 40962-4972

Phone

(606) 627-4350

NPI assigned

Feb 22, 2011

Last updated

Oct 25, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry E Warren, D.O.

Title

Owner

Phone

(606) 546-2511

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashutosh S. Lohe, MD

  • Nephrology Physician
  • Barbourville, KY
  • NPI 1134206543
  NPD (past)
• Ashley N Wilson, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Harrogate, TN
  • NPI 1356781900
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1689971970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1404",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404761404",
            "telephone_number": "606-546-2511",
            "fax_number": "606-546-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13232 N HIGHWAY 421",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409624972",
            "telephone_number": "606-627-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-546-2511",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008480",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1119255",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Phillip Edwards, M.D.
• Eva Angel Edwards, APRN,FNP-BC,RFNA,CNO
• Ahmed El Gammal, MD
• Kelly Evans, D.O.
• Express Care Pharmacy LLC
• Family Clinic Manchaster LLC (Family Drug Center)
• Family Health Care Associates
• Family Health Care Associates of Kentucky, Inc.
• Family Home Care,Inc.
• Family Medical Care of Manchester

• Family Medicine Physician in Manchester, KY
• Providers in Manchester, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.